On December 27, 2013 the patient was transferred to the TB Treatment and Rehabilitation Centre N19 of the Penitentiary department for anti-TB treatment. On December 31, 2013 at 5.30 AM the patient reported an abdominal pain and asked for a painkiller. S/he did not complain about nausea. According to a medical record the abdomen was of medium rigidness; there was a pain in the right flank and in the area of the waist. The patient did not report a pain on the surface of the thigh. The patient vomited. By 2 pm the pain started to decline. The patient was administered an injection of Ketz, No Spa and Platilin. In about an hour the patient asked for a sleeping pill as he could not fall asleep because of dull pain. S/he was administered an injection. The stool was liquid. According to the medical records, on January 2, 2014 at1:20 PM a call was registered from Cell B-406. A doctor responding to the call found the convict prone in bed in vomit (with a consistency of coffee-grounds) and pronounced biological death with preliminary diagnosis of aspiration with vomited substance, asphyxia. According to a report N000006514 prepared by the National Forensics Bureau, the death was induced by purulent diffusive peritonitis resulted from the dissemination of miliary tuberculosis to the digestive tract and perforation of the inner wall of the small intestine. The following injures were found on the body of the deceased: an extravasation on the front surface of the right shoulder (the lower third) and a scar in the area of the same shoulder and the elbow (the back surface) inflicted by a blunt object in the interval of one to three days prior to death. These injuries, when observed on an alive individual, are qualified as light and are not related to the cause of death. The forensic report states that the cause of death was the dissemination of lung miliary tuberculosis in the esophagus, stomach, intestines, lymph nodes, omentum, also, by disintegration of tubercular structures in the esophagus, stomach and small intestines, defects, gastric and esophageal varices, perforation of the inner wall of the small intestine and development of diffusive purulent peritonitis. A post mortem examination also revealed that the deceased suffered from the accumulation of greyish-yellowish-greenish liquid up to 2000 ml in the abdomen and a large quantity of fur of the same colour, brain and soft coat edema, focal arachnoiditis, lipomatosis of epi-myocardium, chronic cholangitis, chronic aggressive hepatitis, HIV/AIDS. The blood of the deceased contained Analgin and Diazepam. Importantly, the information provided by the Medical Department of the Ministry of Corrections did not contain any note by a surgeon which would recommend an operation on the patient. Nor did the documents contain any records on drugs and medication requested by and allocated to the deceased. Therefore, there is evidence that medical service provided to D.G. was of poor quality and that the assistance was delayed and inadequate. T.C. NATIONAL PREVENTIVE MECHANISM OF GEORGIA 121